OBIANAUJU OKOROAFOR (NURSE PRACTITIONER) – Primary Care Nurse Practitioner, NPI 1124555180

OBIANAUJU OKOROAFOR (NURSE PRACTITIONER) is a healthcare provider. based in Dallas, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. RN216358 (GA). The NPI Number for OBIANAUJU OKOROAFOR (NURSE PRACTITIONER) is 1124555180

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
OBIANAUJU OKOROAFOR (NURSE PRACTITIONER)
NPI
1124555180
Phone
Not provided
Address
200 HERITAGE CLUB CIR
Enumeration Date
20 May 2017
Last Update Date
20 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047561410
Graduation Year
2016 (10 years ago)
PAC ID
8527439637
Group Practice PAC ID
6002701273
Professional Enrollment ID
I20230128000250
Address ID
GA303032613AT80XXXNEXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for OBIANAUJU OKOROAFOR (NURSE PRACTITIONER)

  • 200, Heritage Club Circle, Dallas, Paulding County, Georgia, 30132, United States

    DALLAS, GA 301327541

    Phone:

    Type: Mailing

  • 477, Windsor Street Southwest, Mechanicsville, Atlanta, Fulton County, Georgia, 30312, United States

    ATLANTA, GA 303122530

    Phone: (404) 688-9202

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $464.

Total Amount is formed as General ($464) + Research ($0) + Ownership ($0) = $464.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Aurinia Pharma U.S., Inc. ($124).

Total Amount

$464

General + Research + Ownership

Payments

16

Total payment records

General Amount

$464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230128000250INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81001Manual urinalysis test with examination using microscope, automated4039$0
84156Total protein level, urine3938$0
36415Insertion of needle into vein for collection of blood sample3232$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test3232$0
80069Kidney function blood test panel3131$0
View full utilization report →

Insurance plans in this area (ZIP 30132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002701273View full group profile
NameSpecialtyState
Internal MedicineGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Infectious Disease, Internal MedicineGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA
N E U R O L O G YCT
P S Y C H I A T R YGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Cardiovascular Disease (Cardiology), Interventional CardiologyGA

Reviews

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Frequently asked questions

What is OBIANAUJU OKOROAFOR (NURSE PRACTITIONER)'s NPI number?
OBIANAUJU OKOROAFOR (NURSE PRACTITIONER)'s NPI is 1124555180 — the number used across U.S. healthcare to identify this provider.
Would OBIANAUJU OKOROAFOR (NURSE PRACTITIONER) appear as active to a payer?
You can treat OBIANAUJU OKOROAFOR (NURSE PRACTITIONER) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with OBIANAUJU OKOROAFOR (NURSE PRACTITIONER)?
OBIANAUJU OKOROAFOR (NURSE PRACTITIONER)'s record emphasizes Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for OBIANAUJU OKOROAFOR (NURSE PRACTITIONER)?
Travel planning: use Dallas, Georgia as the reference point for OBIANAUJU OKOROAFOR (NURSE PRACTITIONER), then confirm.
Can I trust this NPI listing for OBIANAUJU OKOROAFOR (NURSE PRACTITIONER)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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